Burns 2 Flashcards
)4 general steps in implant treatment
patient selection
Diagnosis and treatment planning
Informed consent
Dental implant treatment
What is a risk associated with Fosamax
bisphosphonate-related oseonecrosis of the Jaws
BRONJ
What bisphosphonate user can be a candidate for
implant surgery
asymptomatic patient on oral bisphosphonates for
less than 3 years
What should be done if pt is asymptomatic
bisphosphonate user for more than 3 years
coordinate with prescribing Doctor to take a 3
month drug holiday prior to surgery
When should the bisphosphonate drug holiday
end after implant placement
after osseous healing has occurredafter osseous healing has occurred
What blood test and its readings can be done to
determine osteonecrosis risk in a more than three year
oral bisphosphonate user
CTx (C-terminal telopeptide)
<100 pg/ml = High Risk
100-150 pg/ml = Moderate risk
>150 pg/ml = Minimal risk
On a drug holiday, how much will the pg/ml
increase per month of the drug holiday
25 pg/ml for each month. Desire is to get them to
>150 pg/ml
Does a drug holiday sound fun
Yes, and it also sounds British.
2 major factors that most frequently determine
whether or not a patient will receive dental implants
Desire and Dollars
6 things to eval in dentate patient clinical exam for
implant treatment planning
overall dentition and periodontium Tooth/teeth to be replaced Status of adjacent teeth Occlusion/interarch space Bruxism/habits Alveolar Ridge
As a rule Do Not …
Connect natural teeth and implant together
Things to cover in Informed Consent
treatment alternatives Not a magic cure, not 100% No guarantees, requires maintenance Can still get peri-implantitis Surgery risks Final Treatment may differ
